Proposed Rules Address Prescription Drug Pricing

Last week, the Department of Health and Human Services (HHS) released a proposed rule to lower prescription drug prices and out-of-pocket costs by encouraging manufacturers to pass discounts directly to patients and bring new transparency to prescription drug markets. Please note, nothing has changed yet, as this is only a proposed rule. Even if finalized in its current…

2016 Cost-Sharing Limits, Reinsurance Fee, and Other Changes Related to the Exchange

In late February, the Department of Health and Human Services (“HHS”) changed cost-sharing and transitional reinsurance program fee limits and released standards for health insurers and the Exchange (a.k.a., the Health Insurance Marketplace). Below identifies a few items of note for employers. 2016 COST-SHARING LIMITS For 2016, the maximum annual out-of-pocket limits for non-grandfathered plans are…